CMS authorized independent dispute resolution (IDR) entities to resume payment determinations for disputes involving items or services furnished on or after October 25, 2022.
The NAHRI Leadership Council is member-driven -- that means our priority is to give you the opportunity to connect with your peers on the Council and share your own insight, expertise, and experiences. Council members have a number of options for increasing their involvement.
There are always opportunities to expand use of existing automation tools. Revenue integrity departments need to make informed choices about new areas to automate and be realistic about their ability to commit resources and show a return on investment.
Medicare could have saved over $200 million in payments for definitive drug testing services between 2016 and 2020 if proper program safeguards had been in place, according to a recent audit report by the Office of Inspector General (OIG).
HHS released a policy roadmap for providers ahead of the public health emergency (PHE) conclusion. The roadmap details policies that will simultaneously end with the PHE, as well as flexibilities that have been extended for various time periods.
Providers are more frequently billing for outpatient evaluation and management services with high-level codes, which has led to higher outpatient spending, according to a recent study.
